Abstract

Background: Mortality under 5 in sub-Saharan Africa remains very high. Interventions implemented including community support through the establishment of community care sites aim to improve access to care. The study evaluates the implementation of community care management in the Kabare health zone that be fully supported by International Rescue Committee. Methodology: The study followed a framework based on standards of the DR Congo Health Ministry about the functioning of community care sites. It has used review literature, data analysis from the health information system and mothers interviews. Results: Community care management through care sites improves access to health care. Strict compliance with the Ministry of Health guidance during the implementation of the community care sites is observed. Two constraints facing these directions are identified: the abandonment of some health community workers with closure of their sites as a consequence and the limited funding of the sites; the process didn’t meet all the input requirements. Conclusion: The study identifies the health community worker as a key player in the implementation of community care and advocates strengthening the mechanism of his recruitment, his formation, his supervision, his estate and the maintenance of motivation. The study proposes actions to improve the operation and sustainability of community care sites.